<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Document</title>
</head>
<body>
    <h1 align="center" >用户反馈表</h1>
    <form action="" method="post">
        <p>姓&emsp;&emsp;名:
        <input type="text" required value="张三" class="txt" size="12" maxlength="20" name="username">
        </p>
        <p>性&emsp;&emsp;别:
            <input type="radio" id="male" name="gender" selected>男
            <input type="radio" id="female" name="gender">女
        </p>
        <p>年&emsp;&emsp;龄:
            <input type="number" class="txt" name="age" value="18">
        </p>
        <p>联系电话:
            <input type="text" class="txt" name="phone" maxlength="11">
        </p>
        <p>电子邮件:
            <input type="email" class="txt" name="email">
        </p>
        <p>联系地址:
            <input type="text" class="txt" name="address">
        </p>
        <p>出生日期:
            <input type="date">
            <input type="month">
            <input type="week">
            <input type="time">
            <input type="datetime">
            <input type="datetime-local">
        </p>
        <p>请输入对网站的建议:<br>
            <textarea name="yoursuggestions" cols="50" rows=5 id=""></textarea><br>
            <input type="submit" value="提交">
            <input type="reset" value="重置">
        </p>
        <p>您的评价:
        <input type="range" min="0" max="10" step="1" > <br>
        <textarea name="" id="" rows="3" cols="50"></textarea>
        </p>
    </form>    
</body>
</html>